Assessment of Determinant Factors towards Contraceptive Method Preference and Shift among Current Users, Boset, East Shoa, Oromia, 2013.
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Date
2021-03
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Addis Abeba University
Abstract
Background
Most Ethiopian women lack the reproductive and social self-determination needed to exercise their
reproductive rights is in turn, perpetuates their low reproductive health and social status. Current
contraceptive prevalence rate is low as 29% clearly demonstrate the disadvantaged position of women
within Ethiopian society. Assessment of family planning would broaden our understanding of health
need, weakness in the service delivery system and many of the possible solutions available to tackle
them.
Objectives
The main objective of this study is to investigate determinant factors towards contraceptive methods
preference and shift among current users in East Shoa, Oromia.
Methodology
A cross-sectional facility based quantitative and qualitative study was conducted to assess
contraceptive methods preference and shift among current users of women of child bearing age from
March to April 12013 among 422 women from all 6 health centers in Boset district. Clients who
visited for family planning health facilities during the dates of data collection were interviewed. Data
were collected using structured and pretested questionnaire and supplemented by Focus Group
Discussion guide. Quantitative data were entered and cleared using Epi Info, then exported to SPSS
version 16 for analysis. Focus Group Discussions were recorded using tape recorder and notes were
also taken by principal investigator and note taker.
Result
The most currently preferred and widely used contraceptive method was injectabel 351(84.2%) and
followed by implanon 47 (11.3%). oral contraceptive pill preference was very low 19 (4.6%). Some
the major reasons for prefer injectables were, convenient to use, fear of spouse save time and for
confidentiality purpose were the leading points. Contraceptive method shift was appeared to be high
among women of age 25-34 account 108 (46.8%). The method shift trends have showed that as age
increases, the method shift practices also increased. Majority of women 168 (75.7%) shifted to
injectables for reasons such as confidentiality issue, provider advice and fear of spouse were human
element part and fear of side effect was health wise reason. Multivariate analysis result, age 15-24year
(AOR:2.71,95%CI,1.38,5.32), and marital status (AOR 4.19,95%CI,1.40,12.55) were found
statistically associated with contraceptive method shift. Bivariate analysis result also revealed that 158
(44.9%) women of age 25-34 years preferred injectable.
Conclusion and recommendation
Contraceptive methods preference of the women was concentrated to only one method which is
injectables, where as the safe and long acting methods were neglected. On the other hand,
contraceptive method shift also one of the problem observed, because still women were shifted to
injectables method which can affect their health through it’s potential side effect.
Discussion about contraception use among couple found to be very low and majority of spouses were
not approved contraception use. This may be due to lack of information on contraception use.
Women’s right largely interfered on contraceptive preference and use. In this case, men were played a
great role particularly on women’s contraceptive choice and use. Therefore, family planning programs
should not focus only on women, but should also address men. Information, Education and
Communication program for promoting family planning methods should be strengthened.
Description
Keywords
Contraceptive Methods,Women